The practice recognised that people with long term and chronic health diseases were at greater risk of being depressed and were proactive in screening patients for depression. Longer appointments and home visits were routinely available for people with long term conditions and the practice chose not to limit consultations to 10 minutes, instead tailoring the time given to each patient according to their needs.

Patients with long term conditions were empowered to become experts in their care and 100% of newly diagnosed diabetic patients had been referred to the Xpert Diabetes Programme giving them knowledge, skill and confidence to deal with the condition effectively.

This surgery included clinics for patients with asthma, chronic obstructive pulmonary disease (COPD), diabetes, coronary heart disease and hypertension. There were 10 members of the nursing team who were qualified to look after patients with long term conditions, this range of specialties allowed patients to get immediate access to expert advice without the need to wait for a secondary care appointment.

Last updated:

29 May 2017

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